Update Your Contracts to Avoid ICD-10 Violation
By Leigh-Ann Renz, 3.26.14
ICD-10 Preparation for Mental & Behavioral Health
One important piece of ICD-10 preparation is to check the contracts that your providers and the practice have with payers: insurance, Medicaid, Medicare, etc. Most of these contracts specify that coding will be conducted in ICD-9 vs. ICD-10!
Obviously, the contracts will need to be reissued, showing that ICD-9 is specified until 10/1/15 and then ICD-10 after that date. While the onus in on the payers to ensure that the contracts are updated and correct by 10/1/15, it’s a simple thing you can do to move towards ICD-10 readiness and also provides you documentation about what the payer will require for coding.
The first step towards ICD-10 preparation is to contact your payers and determine how prepared they are: do they offer ICD-10 guidance and resources? Are they up to date on DSM-5? When can you start testing ICD-10 codes? Do they advise dual coding? If so, when should you start?
This information is vital so you can begin training your providers to change their diagnosis coding habits appropriately. If you haven’t already made these calls, this is a perfect way to kill two birds with one stone and have their requirements in writing. It may help, once you have the new contracts in hand, to make the ICD-10 transition more real and inspire you to complete practice preparation.
Check out our ICD-10 Resource Centers for more tools & information.